Individual
DR. BLAKE MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 I 70 DR SE STE 110, COLUMBIA, MO 65201-6587
(573) 443-1414
Mailing address
3700 I 70 DR SE STE 110, COLUMBIA, MO 65201-6587
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2017002289
MO
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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